ENTERO ENTERO ANASTOMOSIS TECNICA QUIRURGICA PDF

Finalmente, se debe considerar el factor experiencia. Intestinal Anastomosis: Manual or Mechanical? One Plane or Two Planes? Abstract Introduction.

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Finalmente, se debe considerar el factor experiencia. Intestinal Anastomosis: Manual or Mechanical? One Plane or Two Planes?

Abstract Introduction. Different methods of intestinal anastomosis are currently recommended. In Colombia there is lack of clear and relevant information supporting their precise respective indications. We completed a literature review in order to determine the effectiveness of the one plane and two planes intestinal suture and the precise indications of the mechanical suture. Material and methods. A literature search was performed for the identification of articles comparing the one plane suture and the two plane suture, as well as the manual versus the mechanical suture in gastrointestinal surgery.

Articles were reviewed according to the JAMA literature critical appreciation criteria. Effectiveness and pertinence range of data were analyzed. Three systematic reviews and two clinical trials were identified.

The one plane or two plane suture do not show any differences in respect to relevant clinical end results. Mechanical suture appears of obligatory indication in ileo-colic anastomoses. In colo-rectal anastomoses, probably mechanical suture exhibits adequate results, and its use is recommended. In intraperitoneal entero-enteral and colo-colic anastomoses, mechanical suture does not offer advantage in regard to anastomotic dehiscence.

Key words: intestine, large; intestine, small; surgical; suture techniques. Referencias 1. Rev Colomb Cir. Everett WG. A comparison of one layer and two layer techniques for colorectal anastomosis. Br J Surg. Double layer versus single layer intestinal anastomosis: a clinical trial.

Int Surg. A controlled comparison one- and two-layer techniques of suture for high and low colorectal anastomoses. Ileocolonic anastomosis after right hemicolectomy for carcinoma: stapled or hand-sewn? A prospective, multicenter, randomized trial. Int J Colorectal Dis. Staples or sutures for low colorectal anastomoses: a prospective randomized trial.

Colonic anastomotic leak: risk factors, diagnosis, and treatment. J Am Coll Surg. Anastomotic disruption after large bowel resection. World J Gastroenterol. Postoperative leakage and abscess formation after colorectal surgery. Best Pract Res Clin Gastroenterol. Emergency Department at Manchester Royal Infirmary. Best bets. Best evidence topics. Fecha de consulta: 21 de abril de Disponible en www. How to use an article about therapy or prevention.

What were the results and will they help me in caring for my patients? Evidence-Based Medicine Working Group. How to use an overview.

Are the results of the study valid? Stapled versus hand-sewn anastomoses in emergency intestinal surgery: results of a prospective randomized study. Surg Today. Stapled versus sutured closure of loop ileostomy: a randomized controlled trial. Ann Surg. Stapled versus handsewn methods for ileocolic anastomoses. Cochrane Database Syst Rev. Stapled versus handsewn methods for colorectal anastomosis surgery.

Singleversus two- layer intestinal anastomosis: a meta-analysis of randomized controlled trials. BMC Surg. Rothwell PM. Lancet ;

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ENTERO ENTERO ANASTOMOSIS TECNICA QUIRURGICA PDF

Vor Del grupo estudiado, pacientes presentaban RVU bilateral. Cirurgia pediatrica, Maksoud, J. Pediatric surgery, Aschcraft, K. We describe the technique step-by-step, emphasizing the modifications introduced, also in its laparoscopic version. Surgical treatment should reconstruct that relationship.

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